Transfer of a gene into stem cells with subsequent lineage-specific ge
ne expression is a desired goal with many potential therapeutic applic
ations. Retroviral vectors developed from murine leukemia viruses repr
oducibly transfer genes into murine stem cells, but are inefficient at
gene insertion into stem cells of larger animals or man, A growing kn
owledge of stem cell biology suggests that this inefficiency reflects
the quiescent state of stem cells, even when incubated in the presence
of multiple cytokines and low expression of the receptor for amphotro
pic retroviral vectors, Alternative vector systems are being explored
in an effort to overcome these barriers to stem cell-targeted gene tra
nsfer. Our work has shown that recombinant adeno-associated virus vect
ors, which have the potential for transducing quiescent cells, transfe
r, express and integrate a globin gene linked to its normal regulatory
elements in human erythroid cells, but only at very high multipliciti
es of infection. The integrated genome was stable and the encoded glob
in gene aas expressed at levels equivalent to a normal globin gene.